MEDICARE: LOVING LAS BRISAS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1861353153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING LAS BRISAS LLC

Provider Business Mailing Address
First Line	:	5512 LAS BRISAS TER
Second Line	:
City	:	PALMDALE
State	:	CA
Zip	:	93551-5748
Country	:	US
Telephone Number	:	661-206-7070
Fax Number	:	661-310-2123

Provider Business Practice Location Address
First Line	:	5512 LAS BRISAS TER
Second Line	:
City	:	PALMDALE
State	:	CA
Zip	:	93551-5748
Country	:	US
Telephone Number	:	661-206-7070
Fax Number	:	661-310-2123

Authorized Official
Title or Position	:	OWNER
Name	:	ALBERTO GONZALES JR.
Credential	:
Telephone Number	:	661-206-7070

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	11/18/2025

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Directions to “LOVING LAS BRISAS LLC ” Practice Location

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